We present measurements of the gas-phase C/O abundance ratio in six H II regions in the spiral galaxies M101 and NGC 2403, based on ultraviolet spectroscopy using the Faint Object Spectrograph on the Hubble Space Telescope. The C/O ratios increase systematically with O/H in both galaxies, from log C/O approximately -0.8 at log O/H = -4.0 to log C/O approx. -0.1 at log O/H = -3.4. C/N shows no correlation with O/H. The rate of increase of C/O is somewhat uncertain because of uncertainty as to the appropriate UV reddening law, and uncertainty in the metallicity dependence on grain depletions. However, the trend of increasing C/O with O/H is clear, confirming and extending the trend in C/O indicated previously from observations of irregular galaxies. Our data indicate that the radial gradients in C/H across spiral galaxies are steeper than the gradients in O/H. Comparing the data to chemical evolution models for spiral galaxies shows that models in which the massive star yields do not vary with metallicity predict radial C/O gradients that are much flatter than the observed gradients. The most likely hypothesis at present is that stellar winds in massive stars have an important effect on the yields and thus on the evolution of carbon and oxygen abundances. C/O and N/O abundance ratios in the outer disks of spirals determined to date are very similar to those in dwarf irregular galaxies. This implies that the outer disks of spirals have average stellar population ages much younger than the inner disks.